NPI | 1528478120 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA NAVARRO CONTRERAS Senior Practice Administrator 940-435-9044 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2024-11-12 |